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Individual

DEBRA A ROTHENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
(207) 774-4625
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015974
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296990099
ME
Enumeration date
07/12/2006
Last updated
12/31/2008
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